Organization
VIDA MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA INGUANZO LMHC (PRESIDENT)
(305) 613-5125
Entity
Organization
Contact information
Practice address
7745 NW 146TH ST # F1ANDF2, MIAMI LAKES, FL 33016-1559
(786) 633-5992
(786) 420-2151
Mailing address
7745 NW 146TH ST # F1, MIAMI LAKES, FL 33016-1559
(786) 633-5992
(786) 420-2151
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
09/10/2024
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